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Order Number 10868 - Wednesday 6 September 2017 9:54:25 PM

Products	Quantity 	Unit Price 	Total
Lenses
Frame Style Hy-Wyd 69
Lens Type Plano Add US$50.00
Lens Color Vermillion Med
Lens Material Polycarbonate 	1 	US$50.00 	US$50.00
Lenses
Frame Style Hy-Wyd 67
Lens Type Plano Add US$50.00
Lens Color Yellow
Lens Material Polycarbonate 	1 	US$50.00 	US$50.00
	Product Cost	US$100.00
	Shipping Cost	US$12.00
	Total	US$112.00

Customer Information
First Name 	WILLIAM
Last Name 	BONSER
Address 	16229 RED COACH LANE
City 	WHITTIER
State 	CA
Zip Code 	90604
Country 	US
Email 	shooter@bonser.us
Phone 	562-822-2796
How did you hear about us?	Customer
Payment Information
Payment Type 	Visa
Shipping Information
Shipping Method	Ground - $12.00
Ship to Name 	WILLIAM BONSER
Ship to Address 	16229 RED COACH LANE
Ship City 	WHITTIER
Ship State 	CA
Ship Zip Code 	90604
Ship Country 	US

Decot Hy-Wyd Sport Glasses
4128 N. 36th Street
Phoenix AZ 85018
US
Phone 1-800-528-1901
Fax 602-955-7151
Email decot@sportglasses.com